PsoriasisPhase 3TOGETHER-PsONCT06588283
Ixekizumab Concomitantly Administered With Tirzepatide in Adults With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight
A Phase 3 study testing Ixekizumab and Tirzepatide in people with Psoriasis and Obesity, run by Eli Lilly and Company at 72 sites in 2 countries.
Trial summary
The main purpose of this study is to demonstrate that when participants with moderate to severe plaque psoriasis and obesity or overweight in the presence of at least 1 weight-related comorbid condition receive ixekizumab and tirzepatide concomitantly administered, participants see improvement in their psoriasis and… Read more about this study
- Who is it for?
- Ages 18 years and older
- What is being tested?
- Ixekizumab and Tirzepatide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 281 participants
- Where
- 72 sitesin 2 countries
- Study dates
- 30 Sep 2024to 1 Jun 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a diagnosis of moderate-to-severe plaque psoriasis (PsO) for at least 6 months.
- Have both a Static Physician's Global Assessment (sPGA) score of ≥3 and a Psoriasis Area and Severity Index (PASI) ≥12.
- Have ≥10% body surface area (BSA) involvement.
- Have obesity, body mass index of ≥30 kilograms per meter squared (BMI ≥30 kg/m²) or overweight (BMI ≥27 to <30 kg/m²) in the presence of at least 1 of these weight-related comorbid conditions (hypertension, dyslipidemia, obstructive sleep apnea, cardiovascular disease, or T2DM).
Who cannot join
- Medical Conditions
- Have Type 1 Diabetes Mellitus (T1DM).
- Have insulin-treated Type 2 Diabetes Mellitus (T2DM).
- Have a prior or planned surgical treatment for obesity.
- Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) syndrome type 2.
- Have active, or a history of inflammatory bowel disease (Crohn's or ulcerative colitis).
Show all 13Show fewer
- Have a diagnosis or history of malignant disease within the 5 years prior to randomization, with the following exceptions:
- basal cell or squamous epithelial carcinomas of the skin that have been resected, with no evidence of metastatic disease for 3 years.
- cervical carcinoma in situ, with no evidence of recurrence within the 5 years prior to randomization.
- Have serious disorder or illness other than PsO.
- Have a history of chronic or acute pancreatitis.
- Have any prior use of ixekizumab or tirzepatide.
- Have a previous failure or intolerance to an interleukin 17 inhibitor (IL-17i) or glucagon-like peptide 1 (GLP-1) receptor agonists.
Trial locations and contacts
72 sites in 2 countries.
72 sites in 2 countries
United States68 sites
Care Access - Arlington
Arlington, Virginia, 22206
Tekton Research - Westlake Drive
Austin, Texas, 78746
DelRicht Research
Baton Rouge, Louisiana, 70809
Great Lakes Research Group, Inc.
Bay City, Michigan, 48706
Bellaire Dermatology Associates
Bellaire, Texas, 77401
Bellevue Dermatology Clinic
Bellevue, Washington, 98004
Total Skin & Beauty Dermatology Center, PC DBA Total Dermatology
Birmingham, Alabama, 35203
Optima Research - Boardman
Boardman, Ohio, 44512
Equity Medical - Bowling Green
Bowling Green, Kentucky, 42104
Dermatology of Seattle
Burien, Washington, 98168
The Derm Institute of West Michigan
Caledonia, Michigan, 49316
DeNova Research
Chicago, Illinois, 60602
Columbia Dermatology & Aesthetics
Columbia, South Carolina, 29212
Life Clinical Trials
Coral Springs, Florida, 33071
Modern Research Associates, PLLC
Dallas, Texas, 75231
Care Access - Danville
Danville, Virginia, 24541
Psoriasis Treatment Center of Central New Jersey
East Windsor, New Jersey, 08520
California Dermatology & Clinical Research Institute
Encinitas, California, 92024
Red River Research Partners
Fargo, North Dakota, 58103
Alliance for Multispecialty Research, LLC
Fort Myers, Florida, 33912
Johnson Dermatology
Fort Smith, Arkansas, 72916
First OC Dermatology Research Inc
Fountain Valley, California, 92708
NeoClinical Research
Hialeah, Florida, 33016
Care Access - Hoboken
Hoboken, New Jersey, 07030
Skin Care Research
Hollywood, Florida, 33021
Encore Medical Research
Hollywood, Florida, 33024
Onsite Clinical Solutions - Huntersville
Huntersville, North Carolina, 28078
Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250
Solutions Through Advanced Research
Jacksonville, Florida, 32256
Avance Clinical Trials
Laguna Niguel, California, 92677
Care Access - Lake Charles (Bayou Pines)
Lake Charles, Louisiana, 70601
Las Vegas Dermatology
Las Vegas, Nevada, 89144
Tanner Clinic
Layton, Utah, 84041
Metropolis Dermatology
Los Angeles, California, 90017
Dermatology Research Associates
Los Angeles, California, 90045
Dermatologists of Southwest Ohio
Mason, Ohio, 45040
Deluxe Health Center
Miami Lakes, Florida, 33014
International Clinical Research - Tennessee LLC
Murfreesboro, Tennessee, 37130
Oak Dermatology
Naperville, Illinois, 60563
Equity Medical
New York, New York, 10023
Mount Sinai Doctors - East 85th Street
New York, New York, 10028
Virginia Clinical Research, Inc.
Norfolk, Virginia, 23502
Northridge Clinical Trials
Northridge, California, 91325
MI Skin Innovations
Northville, Michigan, 48167
Renstar Medical Research
Ocala, Florida, 34470
Cura Clinical Research - Oxnard
Oxnard, California, 93030
Austin Institute for Clinical Research
Pflugerville, Texas, 78660
Medical Dermatology Specialists
Phoenix, Arizona, 85006
The Indiana Clinical Trials Center, PC
Plainfield, Indiana, 46168
Leading Edge Dermatology
Plantation, Florida, 33317
Dermatology Associates of Plymouth Meeting
Plymouth Meeting, Pennsylvania, 19462
Oregon Medical Research Center
Portland, Oregon, 97201
Oregon Dermatology and Research Center
Portland, Oregon, 97210
ActivMed Practices & Research, LLC.
Portsmouth, New Hampshire, 03801
Skin Cancer and Dermatology Institute - Reno
Reno, Nevada, 89509
Dermatology and Skin Cancer Specialists, LLC
Rockville, Maryland, 20850
Lawrence J. Green, MD, LLC
Rockville, Maryland, 20850
Integrative Skin Science and Research - Location 2
Sacramento, California, 95815
Progressive Clinical Research
San Antonio, Texas, 78213
Texas Dermatology and Laser Specialists
San Antonio, Texas, 78218
Dermatology Clinical Research Center of San Antonio
San Antonio, Texas, 78229
Therapeutics Clinical Research
San Diego, California, 92123
International Clinical Research - Sanford
Sanford, Florida, 32771
Scottsdale Clinical Trials
Scottsdale, Arizona, 85260
DelRicht Research - Thompson's Station
Smyrna, Tennessee, 37167
Nodal Medical Center
Tampa, Florida, 33607
Palm Harbor Dermatology PA d/b/a TrueBlue Clinical Research
Tampa, Florida, 33609
Yuma Clinical Trials
Yuma, Arizona, 85365
Puerto Rico4 sites
SCB Research Center
Bayamón, 00961
Office of Dr. Alma M. Cruz
Carolina, 00985
GCM Medical Group, PSC - Hato Rey Site
San Juan, 00917
Mindful Medical Research
San Juan, 00918
About this study
Official title: Efficacy and Safety of Ixekizumab or Ixekizumab Concomitantly Administered With Tirzepatide in Adult Participants With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight: A Phase 3b, Randomized, Multicenter, Open-Label Study (TOGETHER-PsO)
The main purpose of this study is to demonstrate that when participants with moderate to severe plaque psoriasis and obesity or overweight in the presence of at least 1 weight-related comorbid condition receive ixekizumab and tirzepatide concomitantly administered, participants see improvement in their psoriasis and achieve weight reduction compared to when receiving ixekizumab.
Participation in this study includes up to 12 visits and could last up to 61 weeks including screening, open label treatment period, and post-treatment follow-up period.
- Being tested
- Ixekizumab, Tirzepatide
- Medical subject headings
- Psoriasis, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IxekizumabDrug
Also called LY2439821
Administered SC
TirzepatideDrug
Also called LY3298176
Administered SC.
| Study group | Role | What they receive |
|---|---|---|
| Ixekizumab | Experimental | Ixekizumab administered subcutaneous (SC). Receives: Drug: Ixekizumab |
| Ixekizumab and Tirzepatide | Experimental | Ixekizumab concomitantly administered with tirzepatide SC. Receives: Drug: Ixekizumab; Drug: Tirzepatide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants Who Simultaneously Achieved Psoriasis Area and Severity Index (PASI) 100 and At Least 10% Weight Reduction
PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor (head [0.1], upper limbs [0.2], trunk [0.3], lower limbs [0.4]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease).Participants achieving PASI 100 were defined as having an improvement of at least 100% in the PASI score compared to baseline.
Measured: Baseline to Week 36
Secondary outcomes (3)
Percentage of Participants Who Simultaneously Achieved PASI 75 and At Least 5% Weight Reduction
PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately, and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor (head [0.1], upper limbs [0.2], trunk [0.3], lower limbs [0.4]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease). Participants achieving PASI 75 were defined as having an improvement of ≥75% in the PASI score compared to baseline.
Measured: Baseline to Week 36
Percentage of Participants Achieving PASI 100
PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately, and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor (head [0.1], upper limbs [0.2], trunk [0.3], lower limbs [0.4]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease). Participants achieving PASI 100 were defined as having an improvement of at least 100% in the PASI scores compared to baseline.
Measured: Baseline to Week 36
Percentage of Participants Achieving At Least 10% Weight Reduction
Percentage of Participants Who Achieved at Least a 10% Weight Reduction
Measured: Baseline to Week 36
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2024
- Study start30 Sep 2024
- Primary completion8 Jan 2026
- Study completion1 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for PsoriasisStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 281 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06588283
- Sponsor's protocol ID
- 27243
- Other IDs
- I1F-MC-RHDC
- Acronym
- TOGETHER-PsO
- Status last verified
- Jun 2026
- First submitted
- 4 Sep 2024
- Last updated
- 17 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Publications
Lebwohl M, Blauvelt A, Kartman CE, Leatherwood C, Gordon KB, Sattar N, Puig L, Merola JF, Siu K, Wang R, Sun L, Leung A, Somani N, Rueda MJ, Cardoso A, Genovese MC, Armstrong AW, Strober B. Ixekizumab With or Without Tirzepatide in Adults With Psoriasis and Overweight or Obesity: A Phase 3b Randomized Clinical Trial. JAMA Dermatol. 2026 Jul 1;162(7):709-719. doi: 10.1001/jamadermatol.2026.1753.
PubMed 42139049
Study at a glance
From the registry record, last updated by the sponsor on 17 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Ixekizumab or Ixekizumab Concomitantly Administered With Tirzepatide in Adult Participants With Moderate-to-Severe Plaque Psoriasis and Obesity or Overweight: A Phase 3b, Randomized, Multicenter, Open-Label Study (TOGETHER-PsO)
- ClinicalTrials.gov ID
- NCT06588283
- Acronym / sponsor ID
- TOGETHER-PsO / 27243
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 281 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 30 Sep 2024 (actual)
- Primary completion
- 8 Jan 2026 (actual)
- Study completion
- 1 Jun 2026 (actual)
- First posted
- 19 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to demonstrate that when participants with moderate to severe plaque psoriasis and obesity or overweight in the presence of at least 1 weight-related comorbid condition receive ixekizumab and tirzepatide concomitantly administered, participants see improvement in their psoriasis and achieve weight reduction compared to when receiving ixekizumab.
Participation in this study includes up to 12 visits and could last up to 61 weeks including screening, open label treatment period, and post-treatment follow-up period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ixekizumab | Experimental | Drug: IxekizumabIxekizumab administered subcutaneous (SC). |
| Ixekizumab and Tirzepatide | Experimental | Drug: Ixekizumab, Drug: TirzepatideIxekizumab concomitantly administered with tirzepatide SC. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Have a diagnosis of moderate-to-severe plaque psoriasis (PsO) for at least 6 months.
- Have both a Static Physician's Global Assessment (sPGA) score of ≥3 and a Psoriasis Area and Severity Index (PASI) ≥12.
- Have ≥10% body surface area (BSA) involvement.
- Have obesity, body mass index of ≥30 kilograms per meter squared (BMI ≥30 kg/m²) or overweight (BMI ≥27 to <30 kg/m²) in the presence of at least 1 of these weight-related comorbid conditions (hypertension, dyslipidemia, obstructive sleep apnea, cardiovascular disease, or T2DM).
Key exclusion criteria (13 listed)
- Medical Conditions
- Have Type 1 Diabetes Mellitus (T1DM).
- Have insulin-treated Type 2 Diabetes Mellitus (T2DM).
- Have a prior or planned surgical treatment for obesity.
- Have a family or personal history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia (MEN) syndrome type 2.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| IxekizumabAlso: LY2439821Administered SC | Drug | Ixekizumab, Ixekizumab and Tirzepatide |
| TirzepatideAlso: LY3298176Administered SC. | Drug | Ixekizumab and Tirzepatide |
Primary outcome
Percentage of Participants Who Simultaneously Achieved Psoriasis Area and Severity Index (PASI) 100 and At Least 10% Weight Reduction
Time frame: Baseline to Week 36
PASI combines the extent of body surface involvement in 4 anatomical regions (head, trunk, arms, and legs). For each region the percent area of skin involved was estimated from 0 (0%) to 6 (90%-100%) and severity was estimated by clinical signs of erythema, induration and scaling with a scores range from 0 (none) to 4 (very severe). Each area is scored separately and the scores then combined for the final PASI. Final PASI calculated as: sum of severity parameters for each region * area score * weighing factor (head [0.1], upper limbs [0.2], trunk [0.3], lower limbs [0.4]). Overall scores range from 0 (no psoriasis) to 72 (the most severe disease).Participants achieving PASI 100 were defined as having an improvement of at least 100% in the PASI score compared to baseline.
3 secondary outcomes
Percentage of Participants Who Simultaneously Achieved PASI 75 and At Least 5% Weight Reduction
Time frame: Baseline to Week 36
Percentage of Participants Achieving PASI 100
Time frame: Baseline to Week 36
Percentage of Participants Achieving At Least 10% Weight Reduction
Time frame: Baseline to Week 36
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Jun 2026.
- Derived from this study: PubMed 42139049Lebwohl M, Blauvelt A, Kartman CE, Leatherwood C, Gordon KB, Sattar N, Puig L, Merola JF, Siu K, Wang R, Sun L, Leung A, Somani N, Rueda MJ, Cardoso A, Genovese MC, Armstrong AW, Strober B. Ixekizumab With or Without Tirzepatide in Adults With Psoriasis and Overweight or Obesity: A Phase 3b Randomized Clinical Trial. JAMA Dermatol. 2026 Jul 1;162(7):709-719. doi: 10.1001/jamadermatol.2026.1753.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) study director
Eli Lilly and Company
72 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ixekizumab and Tirzepatide in people with Psoriasis and Obesity, run by Eli Lilly and Company at 72 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 72 sites in United States, Puerto Rico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants Who Simultaneously Achieved Psoriasis Area and Severity Index (PASI) 100 and At Least 10% Weight Reduction (time frame: Baseline to Week 36). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06588283, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Jun 2026.